Document Detail

Pirogoff's Triangle revisited: an alternative site for microvascular anastomosis to the lingual artery. A technical note.
MedLine Citation:
PMID:  10970084     Owner:  NLM     Status:  MEDLINE    
This technical note aims to draw the surgeon's attention to the lingual artery in its course through Pirogoff's Triangle when looking for an appropriate recipient artery in the neck. Nowadays, free vascularised tissue transfer is used routinely in the reconstruction of defects in the maxillofacial area. Comfortable access to a healthy recipient artery is a major factor in ensuring a successful result. Traditionally, Pirogoff's Triangle is the ideal site to expose the lingual artery for ligation in case of severe haemorrhage of the tongue. This study shows that the lingual artery at this site is also well suited to perform a microvascular anastomosis, as the Triangle offers a convenient access, which is relatively horizontal and not hampered by the mandibular border. The artery is of good calibre and seems fairly resistant against arteriosclerosis.
R J van Es; H Thuau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  29     ISSN:  0901-5027     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-12-18     Completed Date:  2000-12-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  207-9     Citation Subset:  D; IM    
Department of Oral and Maxillofacial Surgery, University Medical Center, Utrecht, The Netherlands.
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MeSH Terms
Anastomosis, Surgical
Arteries / surgery*
Neck Muscles / anatomy & histology,  blood supply*,  surgery
Reconstructive Surgical Procedures*
Surgical Flaps / blood supply*
Tongue / blood supply*

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